The heart of the psychiatric–mental health nurse's therapeutic and caring role is characterized by:
1. Bringing unconscious childhood traumas into awareness.
2. Focusing on basic life issues of eating, sleeping, grooming, and hygiene as they relate to mental functioning.
3. Using the nurse–client relationship to support the client in exploring new definitions and actions for life situations.
4. Providing educational information about the client's mental illness.
3
Rationale: The humanistic use of self includes helping clients redefine their experiences in more satisfying ways, learn new patterns of coping with stress, and generally enhancing the quality of their lives and social worlds. Focusing on physical functioning is part of, but not the essence of, the therapeutic relationship. Unless educated in psychoanalysis, nurses do not focus on uncovering unconscious experiences. Psychoeducation is part of the nursing role, but not the main focus of the nurse–client therapeutic relationship.
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A) Edema B) A pressure ulcer C) Compartment syndrome D) Disuse syndrome
The nurse is evaluating the signs and symptoms of a patient in shock. Cardiovascular signs include:
1. bounding pulse, decreased respirations, and blood pressure. 2. bounding pulse and shallow respirations, with a greatly increased blood pressure. 3. thready pulse and shallow respirations, with a decreased blood pressure. 4. thready pulse and irregular respirations with an increased blood pressure.
Which neurotransmitter is decreased in delirium causing agitation, confusion, and hallucinations?
a. dopamine c. glutamate b. norepinephrine d. acetylcholine (Ach)
Hope may be used effectively with clients who have terminal diseases. What does hope provide?
a. A relationship with a divinity b. A system of organized beliefs c. Cultural connectedness d. Meaning and purpose